caa a22 4500 465752888 CHVBK 20180323111838.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF01576338 doi (NATIONALLICENCE)springer-10.1007/BF01576338 McAninch Jack Department of Urology, University of California School of Medicine, 94143-0738, San Francisco, CA, USA aut Urethral injuries [Elektronische Daten] [Jack McAninch] Summary: We report 68 patients (62 men, 6 women) with urethral injuries, 93% resulting from blunt trauma and 7% from penetrating, trauma. Blood at the urethral meatus was the most reliable indicator of prostatomembranous disruption (49 of 50; 98%), and pelvic fracture was also present in 98% of these patients. Initial cystostomy was the preferred management with delayed urethral reconstruction when necessary. For repair of the prostatomembraous stricture, a combined perineal/ lower abdominal approach with pubectomy (in 30 of 33) provided exposure for complete scar excision and primary urethro-urethral anastomosis. In bulbar (straddle) injuries, the strictures did not require repair. Pendulous injuries were all from gunshots (penetrating) and were immediately repaired. In 37 of the men with complete or partial prostatomembranous disruption, 6 (16%) became impotent. Two visual urethrotomies and two repeat urethroplasties were successful for recurrent strictures. None of the patients require urethral dilation and mean urinary flow rates for the men are 18.5 ml/s. Urinary continence was achieved in all patients. This approach to management of urethral rupture provides excellent results for these severely injured patients. Springer-Verlag, 1990 World Journal of Urology Springer-Verlag 7/4(1990-12-01), 184-188 0724-4983 7:4<184 1990 7 345 https://doi.org/10.1007/BF01576338 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01576338 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- McAninch Jack Department of Urology, University of California School of Medicine, 94143-0738, San Francisco, CA, USA aut NATIONALLICENCE 773 0- World Journal of Urology Springer-Verlag 7/4(1990-12-01), 184-188 0724-4983 7:4<184 1990 7 345 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer